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Why Does Your Tooth Hurt When You Drink Something Cold?

By Dr. Cohen — Mission Viejo, South Orange County Many patients here in Mission Viejo tell me the same thing:


“Every time I take a sip of cold water, I feel a sharp shock in my tooth.”

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If this happens to you, it’s not something to ignore. Your teeth are sending you a message, and there are a few common reasons behind this sudden sensitivity.

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A Cracked Tooth

A cracked tooth can expose the inner layers, making the tooth extremely sensitive to temperature changes.
This often happens when:

  • You previously had a large filling
     

  • You bit down on something unexpectedly hard, like a popcorn kernel
     

Even small cracks can create a sudden, sharp pain when cold liquid touches the tooth. Cracked teeth are one of the more common causes of cold sensitivity that I diagnose in the office.

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A Dental Abscess

If the nerve inside a tooth becomes infected, you may feel sensitivity, pressure, or a lingering “shock” sensation.


An abscess is a more serious issue and should be evaluated promptly.


Patients often come in with cold sensitivity that turns out to be infection-related, so it’s important not to ignore ongoing symptoms.

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Root Sensitivity

Sometimes the issue is simply exposed roots.


This can happen from gum recession or natural wear over time.


In some cases, this type of sensitivity is normal — and in others, it’s a sign that something needs attention.

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What I Recommend

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A good first step is to try an over-the-counter desensitizing toothpaste, such as Sensodyne. Many patients experience relief within a couple of weeks.

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However, if the sensitivity persists, worsens, or is limited to a specific tooth, it’s essential to schedule an evaluation. That allows me to determine whether the cause is a crack, an abscess, or root-related sensitivity — and recommend the right treatment.

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If you’re experiencing cold sensitivity and live in Mission Viejo or South Orange County, feel free to contact our office. We’re here to help you get clarity — and relief.

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